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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - Commentary
Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.
Citation Text:
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…
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psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
April 10, 2019 - Commentary
Medication errors and trainees: advice for learners and organizations.
Citation Text:
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
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psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene
May 08, 2017 - Study
Inappropriate medications in elderly ICU survivors: where to intervene?
Citation Text:
Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors: where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.…
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psnet.ahrq.gov/issue/risk-management-and-patient-safety-artificial-intelligence-era-systematic-review
February 15, 2023 - Review
Risk management and patient safety in the artificial intelligence era: a systematic review.
Citation Text:
Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:…
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psnet.ahrq.gov/issue/improving-diagnosis-feedback-and-deliberate-practice-one-one-coaching-diagnostic-maturation
July 06, 2022 - Study
Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.
Citation Text:
Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):…
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting.
Citation Text:
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
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psnet.ahrq.gov/issue/zero-harm-health-care
August 12, 2020 - Commentary
Zero harm in health care.
Citation Text:
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Chartbooks Organized Around Priorities of the National Quality Strategy
Making care safer by reducing harm caused … Meningococcal diseases are infections caused by the bacteria Neisseria meningitidis.12
The meningococcal
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - Importance: Some heart attacks are caused by blood clots. … Early actions, such as fibrinolytic medication, may open blockages caused by blood clots, reduce heart
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zESNSGqmKFpJWqNb573WXC
November 01, 2009 - Other potential harms, such as pain caused
by the procedure, exist but are thought to have little effect … slower-growing
cancer that would have eventually become clinically appar-
ent but would never have caused
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/coronary-stents-outcomes_research.pdf
January 01, 2010 - Since their introduction in 20xx, DES have been shown in clinical trials to decrease TLR (…
The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is
part of AHRQ’s Effective Health Care program. It is a collaborative network of research
centers that support the rapid development o…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
January 01, 2023 - Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report
AHRQ Grant Final Progress Report
Title of Project
Health Information Exchange Utilization and Inter-hospital Transfer Outcomes
Principal Investigator and Team Members
Michael Usher MD, PhD, Principal Investigator
Gyor…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/delirium-disposition-comments.pdf
September 03, 2019 - Disposition of Comments CER 219 Antipsychotics for the Prevention and Treatment of Delirium
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Antipsychotics for the Prevention and Treatment of Delirium
Draft review available for public comment from March 4, 2019 to April 1, 20…
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hcup-us.ahrq.gov/reports/projections/2012-03.pdf
January 01, 2012 - artificial
(prosthetic) device in order to alleviate severe joint pain or correct joint damage, such as caused … an artificial
(prosthetic) device in order to alleviate severe joint pain or correct joint damage caused … replacing a natural hip joint with an artificial
(prosthetic) device in order to correct joint damage caused … device in order to alleviate severe joint pain, improve impaired mobility, or
correct joint damage caused
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hcup-us.ahrq.gov/reports/methods/2006_05_NISTrendsReport_1988-2004A.pdf
January 01, 2006 - This
definitional change caused a “discontinuity” between 1997 and 1998 in estimates of
trends in totals … Change in the Definition of Teaching Hospitals (1998)
This redefinition caused some hospitals to change … (12/15/15) 31 NIS Trends Final Report
Change in the Bed Size Categories (1998)
This revision caused … Change in Ownership Strata (1998)
This change caused some hospitals in low-frequency ownership categories
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-208-bipolar-adults-disposition-comments.pdf
August 07, 2018 - got 200 mg of risperidone and got a STROKE..the
neurologist told us point blank that the stroke was CAUSED … risperidone, for making our lives worse
than we ever thought possible, and that it was risperidone which
caused … it's a year and a half later and I, his wife,
have lived through three hospital stays, due to STROKES caused … depressed having to be his caretaker, due to the fact that Medicare
does not cover the long-term effects caused
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/wireless-motility-capsule_research-protocol.pdf
March 14, 2012 - Delay of gastric emptying is
commonly caused by the use of certain medications such as narcotics or
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Analysis of NRE
will not provide direct empirical evidence that any particular clinical process caused
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Alert Fatigue
“Alert fatigue,” commonly experienced after a CPOE goes live, is caused by a combination
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - of patient defense in detecting patient deterioration and protecting patients by recovering errors caused